- Highmark Health (Dover, DE)
- …also responsible for assisting members in navigating the grievance and appeals process and representing member interests internally and externally. **ESSENTIAL ... Outreach or Customer Service **Preferred** + Familiarity with healthcare and/or insurance + Experience working with the Medicaid and/or Medicare population… more
- Navy Federal Credit Union (Pensacola, FL)
- …services + Examine preliminary title work, status reports , hazard and flood insurance policies to determine if property condition/ insurance is within acceptable ... applications into online application system + Prepare/submit final applications and member appeals for decision + Resolve escalated member issues and problems +… more
- University of Rochester (Rochester, NY)
- …orders and sends them for review and approval. Anticipates needs of insurance companies by gathering all necessary information for referrals and prior ... edits, and obtains signatures for non-routine letters of correspondence related to appeals on denied claims, including compiling all necessary information and drafts… more
- State of Indiana (Indianapolis, IN)
- …forms for protested claims. + Determine exhibits to be offered during appeals hears and defend determinations. + Receive, investigate, and correct system error ... statutes and administrative rules, case law and procedures regarding unemployment insurance . + Recognize and detect potential instances of claimant and employer… more
- Ochsner Health (New Orleans, LA)
- …today!** This job is primarily responsible for resolving all outstanding insurance account receivables. Responsibilities include, but are not limited to, performing ... result of obtaining payment of the account. + Verifies and/or updates insurance and demographic information for accuracy to resolve barriers in receiving payment… more
- Animal Care Centers of NYC (New York, NY)
- …and mental health by offering a great open access Cigna medical, dental and vision insurance at a low premium to our employees as well as 401K and Pension, Life ... Insurance . We also have on-the-job training for 2-4 weeks,...data entry, list creation for direct mail or email appeals , and tracking participation or engagement metrics. + Support… more
- University of Michigan (Ann Arbor, MI)
- …matching contributions with immediate vesting Many choices for comprehensive health insurance Life insurance Long-term disability coverage Flexible spending ... into inspiring funding opportunities. Excellent written and verbal skills for writing appeals , reports, and engaging with stakeholders and donors Ability to travel… more
- MyFlorida (Tallahassee, FL)
- …regarding administrative investigations, informal and formal hearings and appeals . Performs statutory interpretation and interpretation of criminal history ... Nine paid holidays and one Personal holiday each year; + State Group Insurance coverage options, including health, life, dental, vision and other supplemental … more
- State of Colorado (Denver, CO)
- …dental health plans (https://dhr.colorado.gov/state-employees/state-of-colorado-employee-benefits) + Paid life insurance + Short- and long-term disability coverage + ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information A… more
- HCA Healthcare (Lake Worth, FL)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...audits and oversight of adverse events. Assists with processing appeals and denials as requested. + Maintains effective and… more